Andrew B Kichura (NPI# 1265794432, PAC ID# 3678885902) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1265794432 |
| PAC ID by PECOS | 3678885902 |
| Professional Enrollment ID | I20150630000240 |
| Full Name | Andrew B Kichura |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Address |
1027 Bellevue Ave Suite 200 Saint Louis MO 63117-1851 |
| Phone Number | 3146456450 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | HOSPITALIST, INTERNAL MEDICINE |
| Group Practice PAC ID | 6608776299 |
| Number of Group Practice Members | 498 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260091 | SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS |
| 260081 | SSM ST CLARE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1015 Bowles Ave, Fenton, MO 63026-2394 | 6364962502 | SSM HEALTH CARE ST LOUIS |
| 1027 Bellevue Ave, Suite 200, Saint Louis, MO 63117-1851 | 3146456450 | SSM MEDICAL GROUP INC |
| 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 3147688000 | SSM HEALTH CARE ST LOUIS |
| Organization Legal Name | SSM MEDICAL GROUP INC |
| Physicians | 497 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jodi R Lutz | Nurse Practitioner | Ssm Medical Group Inc | 1650 Washington Ave, Alton, IL 62002-3931 |
| Anne Marie Maestas | Podiatry | Ssm Medical Group Inc | 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301-2883 |
| Alina V Adams | Nurse Practitioner | Ssm Medical Group Inc | 3555 Sunset Office Dr, Suite C100, Saint Louis, MO 63127-1014 |
| Jared Henrichs | Family Medicine | Ssm Medical Group Inc | 8670 A Big Bend Blvd, Saint Louis, MO 63119-3839 |
| Jamie L Partin | Nurse Practitioner | Ssm Medical Group Inc | 16105 Manchester Rd, Ellisville, MO 63011-2001 |
| Tyla A Johnson | Nurse Practitioner | Ssm Medical Group Inc | 190 N Florissant Rd, Ferguson, MO 63135-1942 |
| Ashfaq Ullah | Pulmonary Disease | Ssm Medical Group Inc | 12255 De Paul Dr, Suite 500, Bridgeton, MO 63044-2515 |
| Katherine E Galliers | Nurse Practitioner | Ssm Medical Group Inc | 8571 Watson Rd, Webster Groves, MO 63119-5218 |
| Kaci Briann Hale | Nurse Practitioner | Ssm Medical Group Inc | 1001 Bowles Ave, Fenton, MO 63026-2338 |
| Tuyche D Sang | Internal Medicine | Ssm Medical Group Inc | 30 Ronnies Plz, Saint Louis, MO 63126-3552 |
| Street Address |
1027 BELLEVUE AVE SUITE 200 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63117-1851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean T Mclaughlin | Internal Medicine | American Multispecialty Group Inc | 1027 Bellevue Ave, Suite 107, Saint Louis, MO 63117-1851 |
| Rita Mukerji | Cardiovascular Disease (cardiology) | Ssm Medical Group Inc | 1027 Bellevue Ave, Suite 200, Saint Louis, MO 63117-1851 |
| Emily G Basarabescu | Physician Assistant | American Multispecialty Group Inc | 1027 Bellevue Ave, Suite 107, Saint Louis, MO 63117-1851 |
| Alante Q Ghannam | Nurse Practitioner | American Multispecialty Group Inc | 1027 Bellevue Ave, Suite 107, Saint Louis, MO 63117-1851 |
| Kyle Christopher Moylan | Geriatric Medicine | American Multispecialty Group Inc | 1027 Bellevue Ave, Suite 107, Saint Louis, MO 63117-1851 |
| Snehal R Gandhi | Internal Medicine | American Multispecialty Group Inc | 1027 Bellevue Ave, Suite 107, Saint Louis, MO 63117-1851 |
| Lisa A Schultz | Nurse Practitioner | American Multispecialty Group Inc | 1027 Bellevue Ave, Suite 107, Saint Louis, MO 63117-1851 |
| James William Dimitroff | Gastroenterology | American Multispecialty Group Inc | 1027 Bellevue Ave, Suite 107, Saint Louis, MO 63117-1851 |
| Robert Pozzi | Family Medicine | American Multispecialty Group Inc | 1027 Bellevue Ave, Suite 107, Saint Louis, MO 63117-1851 |
| Deborah J Garbo | Nurse Practitioner | Ssm Medical Group Inc | 1027 Bellevue Ave, Suite 200, Saint Louis, MO 63117-1851 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia V Cooper | Clinical Psychologist | Ssm Select Rehab St Louis LLC | 12380 Depaul Dr, Saint Louis, MO 63117 |
| Melanie J Kramer | Nurse Practitioner | Brentwood Painstop LLC | 8225 Clayton Rd, Clayton, MO 63117-1107 |
| Roland S Van Nest | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Barbara Yusen | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Elena M Rodriguez | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Bryan M Rasch | Chiropractic | Brentwood Painstop LLC | 8225 Clayton Rd, Clayton, MO 63117-1107 |
| Sarah E Beerntsen | Physical Therapy | Sports Medicine and Training Center | 8235 Clayton Rd, Clayton, MO 63117-1107 |
| Shannon Niere | Optometry | Antoine Eye Care, LLC | 2493 Saint Louis Galleria, Saint Louis, MO 63117-1113 |
| Michael Antoine | Optometry | Antoine Eye Care, LLC | 2493 Saint Louis Galleria, Saint Louis, MO 63117-1113 |
| Alexander R Bottini | Ophthalmology | Retina Consultants Ltd | 17 The Boulevard, Richmond Heights, MO 63117-1118 |
| Find all physicians in zip 63117 | |||
| City | SAINT LOUIS |
| Zip Code | 63117 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SAINT LOUIS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Andrew B Kichura.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.